Nature Trail Health and Rehab
1001 South 34th Street, Mount Vernon, IL 62864 · Jefferson County · 74 certified beds · avg 67 residents/day · certified since Mar 1, 2002
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: 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)
▲ Actual harm, one-off · Dec 8, 2025 · F-0692
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Why it matters: Malnutrition and dehydration can quickly weaken a resident and lead to serious complications.
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: Dec 28, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Feb 4, 2025 · 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: Feb 21, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Nov 10, 2023 · 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 (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Oct 31, 2023 (Past Non-Compliance)
All citations in the current public record (25)
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 |
|---|---|---|
| Dec 8, 2025 | ▲ G · Actual harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Dec 8, 2025 | F · Potential for harm, facility-wide | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. |
| Dec 8, 2025 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Dec 8, 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. |
| Dec 8, 2025 | 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. |
| Dec 8, 2025 | D · Potential for harm, one-off | 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. |
| Dec 8, 2025 | 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. |
| Dec 8, 2025 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| May 30, 2025 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Feb 4, 2025 | ▲ 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. |
| Feb 4, 2025 | E · Potential for harm, repeated | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Feb 4, 2025 | B · Minimal risk, repeated | The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms. |
| Apr 18, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Nov 16, 2023 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Nov 16, 2023 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Nov 16, 2023 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Nov 16, 2023 | D · Potential for harm, one-off | 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. |
| Nov 16, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Nov 16, 2023 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Nov 16, 2023 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Nov 16, 2023 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Nov 16, 2023 | B · Minimal risk, repeated | The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms. |
| Nov 10, 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. · from a complaint |
| Aug 4, 2023 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Aug 4, 2023 | 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 increased between the last two inspection cycles (3 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 12 | 1 | G ▲ |
| 2024 | 1 | 0 | D |
| 2025 | 12 | 2 | G ▲ |
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 $28,620, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Dec 8, 2025 | Fine | $28,620 |
| Feb 4, 2025 | Payment Denial | 10 days from Feb 26, 2025 |
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) | 2.79 | 2.99 | 3.95 | top 42% in Illinois; bottom 8% in the U.S. |
| Registered Nurse hours | 0.48 | 0.63 | 0.69 | bottom 48% in Illinois; bottom 36% in the U.S. |
| Weekend total nurse staffing | 2.33 | 2.67 | 3.50 | bottom 45% in Illinois; bottom 5% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.38 | 0.56 | 0.48 | bottom 36% in Illinois; bottom 49% in the U.S. |
| Total nursing staff turnover (%) | 49.2 | 44.5 | 45.8 | bottom 36% in Illinois; bottom 39% in the U.S. |
| RN turnover (%) | 12.5 | 41.8 | 42.9 | top 5% in Illinois; top 6% 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 3.33, RN 0.58, weekend 2.78. Staffing rating: 2/5.
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: 2/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Crest II TBD Holdco | Organization | 5% or Greater Indirect Ownership Interest | 100% | 02/27/2024 |
| Crest Illinois Holdco II LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 02/27/2024 |
| Singer, Meir | Individual | Indirect Ownership Interest | NOT APPLICABLE | 02/27/2024 |
| 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 |
| Crest Realty Holdco LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2021 |
| Fejcc Trust | Organization | ADP of the SNF | NOT APPLICABLE | 02/27/2024 |
| Flick, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/06/2024 |
| Flick, John | Individual | ADP of the SNF | NOT APPLICABLE | 12/06/2024 |
| Lichtman, Shalom | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/01/2021 |
| Lichtman, Shalom | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2021 |
| Lichtman, Shalom | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2021 |
| Light Man LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 05/01/2021 |
| LTC Consulting Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 05/01/2021 |
| LTC Consulting Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2021 |
| Mdatas Trust | Organization | ADP of the SNF | NOT APPLICABLE | 02/27/2024 |
| Mrs Family Trust | Organization | ADP of the SNF | NOT APPLICABLE | 02/27/2024 |
| Nature Trail Realty | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2021 |
| Robbins, Suzanne | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/31/2025 |
| Robbins, Suzanne | Individual | ADP of the SNF | NOT APPLICABLE | 03/31/2025 |
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 monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you show me the call buttons in the bathrooms and bathing areas, and tell me your average response time when one is pressed?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "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 |
|---|---|---|---|---|---|
| Axiom Gardens of Mount Vernon | 0.4 mi | Mount Vernon, IL | —/5 | abuse | |
| Mount Vernon Countryside Manor | 1.5 mi | Mount Vernon, IL | ★★☆☆☆ | 3/5 | |
| Axiom Healthcare of Mount Vernon | 1.6 mi | Mount Vernon, IL | ★☆☆☆☆ | 1/5 | abuse |
| Centralia Manor | 19.1 mi | Centralia, IL | ★☆☆☆☆ | 1/5 | abuse |
| Fireside House of Centralia | 19.1 mi | Centralia, IL | ★★★☆☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 146021.