Clayberg, the
625 East Monroe Street, Cuba, IL 61427 · Fulton County · 49 certified beds · avg 43 residents/day · certified since Jul 7, 2011
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
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 · Mar 2, 2023 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
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: Mar 14, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (12)
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 |
|---|---|---|
| Apr 4, 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. |
| Apr 4, 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. |
| Apr 4, 2025 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| May 31, 2024 | D · Potential for harm, one-off | 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 |
| May 15, 2024 | E · Potential for harm, repeated | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| May 15, 2024 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| May 15, 2024 | 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. |
| May 15, 2024 | D · Potential for harm, one-off | 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. |
| May 15, 2024 | D · Potential for harm, one-off | 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. |
| Mar 2, 2023 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Mar 2, 2023 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Mar 2, 2023 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (5 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 3 | 1 | G ▲ |
| 2024 | 6 | 0 | E |
| 2025 | 3 | 0 | E |
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) | 4.39 | 2.99 | 3.95 | top 12% in Illinois; top 26% in the U.S. |
| Registered Nurse hours | 0.92 | 0.63 | 0.69 | top 16% in Illinois; top 19% in the U.S. |
| Weekend total nurse staffing | 3.61 | 2.67 | 3.50 | top 16% in Illinois; top 37% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.56 | 0.56 | 0.48 | top 36% in Illinois; top 27% in the U.S. |
| Total nursing staff turnover (%) | 50.0 | 44.5 | 45.8 | bottom 34% in Illinois; bottom 38% in the U.S. |
| RN turnover (%) | 54.5 | 41.8 | 42.9 | bottom 29% in Illinois; bottom 29% 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 3.87, RN 0.81, weekend 3.19. Staffing rating: 4/5.
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: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5
Who owns this facility
Government - County
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| County of Fulton | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/06/1969 |
| County of Fulton | Organization | Indirect Ownership Interest | NOT APPLICABLE | 07/06/1969 |
| County of Fulton | Organization | Trustee of the SNF | NOT APPLICABLE | 07/06/1969 |
| Denning, Tammie | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/06/2020 |
| Denning, Tammie | Individual | ADP of the SNF | NOT APPLICABLE | 01/06/2020 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "Where do you post your daily staffing numbers, and can I see today's?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "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 |
|---|---|---|---|---|---|
| Graham Hospital | 9.2 mi | Canton, IL | ★★★☆☆ | 3/5 | |
| Sunset Rehabilitation and Health Care | 9.5 mi | Canton, IL | ★☆☆☆☆ | 1/5 | |
| Renaissance Care Center | 10.9 mi | Canton, IL | ★★★★☆ | 3/5 | |
| Loft Rehab & Nursing of Canton | 11.0 mi | Canton, IL | ★★☆☆☆ | 3/5 | |
| Arcadia Care Havana | 14.6 mi | Havana, IL | ★☆☆☆☆ | 1/5 | abuseSFF |
| Farmington Village Nrsg | 17.0 mi | Farmington, IL | ★★☆☆☆ | 1/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 146151.