Manor Court of Peru
3230 Becker Drive, Peru, IL 61354 · La Salle County · 130 certified beds · avg 109 residents/day · certified since Aug 19, 2005
Part of chain: RESIDENTIAL ALTERNATIVES OF ILLINOIS (7 facilities, chain avg rating 3.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
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)
▲ Immediate jeopardy, one-off · Mar 9, 2026 · F-0689 · triggered by a complaint
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 (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Mar 10, 2026 (Deficient, Provider has date of correction)
All citations in the current public record (9)
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 9, 2026 | ▲ J · Immediate jeopardy, 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 |
| Aug 28, 2025 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Aug 28, 2025 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Oct 31, 2024 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Oct 31, 2024 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Oct 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. |
| Oct 31, 2024 | 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. |
| Oct 31, 2024 | 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. |
| Apr 13, 2024 | 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. · from a complaint |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (5 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 6 | 0 | D |
| 2025 | 2 | 0 | D |
| 2026 | 1 | 1 | J ▲ |
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)
1 fine totaling $21,645.
| Date | Type | Amount / length |
|---|---|---|
| Mar 9, 2026 | Fine | $21,645 |
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) | 2.91 | 2.99 | 3.95 | top 36% in Illinois; bottom 11% in the U.S. |
| Registered Nurse hours | 0.62 | 0.63 | 0.69 | top 34% in Illinois; top 46% in the U.S. |
| Weekend total nurse staffing | 2.67 | 2.67 | 3.50 | top 32% in Illinois; bottom 15% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.44 | 0.56 | 0.48 | bottom 45% in Illinois; top 42% in the U.S. |
| Total nursing staff turnover (%) | 34.3 | 44.5 | 45.8 | top 23% in Illinois; top 22% in the U.S. |
| RN turnover (%) | 22.2 | 41.8 | 42.9 | top 19% in Illinois; top 17% 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 3.53, RN 0.75, weekend 3.23. Staffing rating: 3/5.
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: 3/5 · short-stay residents: 3/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Residential Alternatives of Illinois INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 03/10/2022 |
| Kempiners, William | Individual | Corporate Director | NOT APPLICABLE | 08/01/2013 |
| Kniery, John | Individual | Corporate Director | NOT APPLICABLE | 08/01/2013 |
| Lieske, Lorrie | Individual | W-2 Managing Employee | NOT APPLICABLE | 08/06/2018 |
| Shaw, Jeffrey | Individual | Corporate Director | NOT APPLICABLE | 08/01/2013 |
| Shaw, Jeffrey | Individual | Corporate Officer | NOT APPLICABLE | 08/01/2013 |
| Wilson, Ronald | Individual | Corporate Officer | NOT APPLICABLE | 08/13/2018 |
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?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "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 |
|---|---|---|---|---|---|
| Allure of Peru | 0.6 mi | Peru, IL | ★★★☆☆ | 4/5 | |
| Goldwater Care Spring Valley | 4.1 mi | Spring Valley, IL | ★★★★☆ | 4/5 | |
| La Salle County Nursing Home | 11.8 mi | Ottawa, IL | ★★★★☆ | 3/5 | |
| Allure of Mendota | 14.1 mi | Mendota, IL | ★★★★☆ | 4/5 | |
| Pleasant View Luther Home | 14.4 mi | Ottawa, IL | ★★★★☆ | 3/5 | |
| Pavilion of Ottawa | 15.1 mi | Ottawa, IL | ★★★★☆ | 4/5 | |
| Goldwater Care Princeton | 17.1 mi | Princeton, IL | ★★★☆☆ | 4/5 | |
| Manor Court of Princeton | 17.2 mi | Princeton, IL | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 146091.