Cedar Ridge Health & Rehab Ctr
One Perryman Street, Lebanon, IL 62254 · St. Clair County · 116 certified beds · avg 107 residents/day · certified since Jul 6, 1987
Part of chain: CREST HEALTHCARE CONSULTING (11 facilities, chain avg rating 2.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Jan 30, 2025 · F-0697
The facility did not provide safe and appropriate pain management for a resident who needed it.
Why it matters: Untreated pain causes needless suffering and can lead to depression, poor sleep, and declining health.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jan 31, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Aug 11, 2023 · F-0698 · triggered by a complaint
The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Why it matters: Mistakes in dialysis care can quickly become life-threatening for residents with kidney failure.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Aug 23, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (20)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 12, 2026 | F · Potential for harm, facility-wide | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Mar 12, 2026 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Mar 12, 2026 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Mar 12, 2026 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Mar 12, 2026 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint |
| Jan 30, 2025 | ▲ G · Actual harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Jan 30, 2025 | E · Potential for harm, repeated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Jan 30, 2025 | E · Potential for harm, repeated | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Jan 30, 2025 | E · Potential for harm, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jan 30, 2025 | E · Potential for harm, repeated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Jan 30, 2025 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Jan 30, 2025 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jan 30, 2025 | E · Potential for harm, repeated | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Jan 30, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jan 30, 2025 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Jan 30, 2025 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Feb 15, 2024 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Jan 5, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jan 5, 2024 | D · Potential for harm, one-off | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Aug 11, 2023 | ▲ G · Actual harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · from a complaint |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (11 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 1 | G ▲ |
| 2024 | 3 | 0 | F |
| 2025 | 11 | 1 | G ▲ |
| 2026 | 5 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Illinois avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.45 | 2.99 | 3.95 | bottom 33% in Illinois; bottom 3% in the U.S. |
| Registered Nurse hours | 0.62 | 0.63 | 0.69 | top 35% in Illinois; top 46% in the U.S. |
| Weekend total nurse staffing | 1.98 | 2.67 | 3.50 | bottom 19% in Illinois; bottom 2% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.49 | 0.56 | 0.48 | top 45% in Illinois; top 34% in the U.S. |
| Total nursing staff turnover (%) | 59.1 | 44.5 | 45.8 | bottom 16% in Illinois; bottom 18% in the U.S. |
| RN turnover (%) | 45.5 | 41.8 | 42.9 | bottom 42% in Illinois; bottom 43% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.12, RN 0.78, weekend 2.52. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 2/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Crest CRJS Holdco LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 03/14/2025 |
| Il M Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 03/14/2025 |
| Mrs Windy City State Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 03/14/2025 |
| Capital Finance LLC | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 01/01/2022 |
| Capital Finance LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2022 |
| Flick, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/06/2024 |
| Flick, John | Individual | ADP of the SNF | NOT APPLICABLE | 01/06/2024 |
| Il M Trust | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2019 |
| Lichtman, Shalom | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/01/2019 |
| Lichtman, Shalom | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2019 |
| Lichtman, Shalom | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2019 |
| Light Man LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/14/2025 |
| LTC Consulting Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2019 |
| O'Neal, Kenya | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/31/2023 |
| O'Neal, Kenya | Individual | ADP of the SNF | NOT APPLICABLE | 07/31/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "How do you coordinate and monitor care for residents who receive dialysis?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Evercare of Lebanon | 0.6 mi | Lebanon, IL | ★☆☆☆☆ | 2/5 | abuse |
| Nexus at Mascoutah | 7.5 mi | Mascoutah, IL | ★☆☆☆☆ | 2/5 | abuse |
| Clinton Manor Living Center | 8.0 mi | New Baden, IL | ★★★★★ | 5/5 | |
| La Bella of Mascoutah | 8.1 mi | Mascoutah, IL | ★☆☆☆☆ | 2/5 | |
| Evervella of Swansea | 10.3 mi | Swansea, IL | ★★☆☆☆ | 3/5 | |
| Evercare of Collinsville | 10.9 mi | Collinsville, IL | ★☆☆☆☆ | 1/5 | abuse |
| Evercare of Swansea | 10.9 mi | Swansea, IL | ★☆☆☆☆ | 1/5 | abuse |
| Highland Health Care Center | 11.2 mi | Highland, IL | ★☆☆☆☆ | 2/5 | abuse |
| Manor Court of Maryville | 11.4 mi | Maryville, IL | ★★★★★ | 5/5 | |
| Aviston Countryside Manor | 11.4 mi | Aviston, IL | ★★☆☆☆ | 2/5 | abuse |
| St Paul's Senior Community | 11.5 mi | Belleville, IL | ★☆☆☆☆ | 2/5 | |
| Nexus Pavilion at Belleville | 11.7 mi | Belleville, IL | ★☆☆☆☆ | 1/5 | abuseSFF |
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Facility data as of CMS processing date 2026-08-01. CCN 145571.