Pekin Manor
1520 El Camino Drive, Pekin, IL 61554 · Tazewell County · 130 certified beds · avg 97 residents/day · certified since Dec 1, 1988
Part of chain: UNLIMITED DEVELOPMENT, INC. (10 facilities, chain avg rating 2.5★)
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 · Jun 27, 2025 · F-0686 · triggered by a complaint
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.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
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: Jun 28, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Feb 10, 2025 · 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: Feb 11, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (21)
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 |
|---|---|---|
| Jun 27, 2025 | ▲ G · Actual 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. · from a complaint |
| Jun 27, 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. · from a complaint |
| Jun 27, 2025 | D · Potential for harm, one-off | 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. · from a complaint |
| Feb 10, 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. · from a complaint |
| Sep 26, 2024 | D · Potential for harm, one-off | 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. |
| Sep 26, 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. |
| Sep 26, 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. |
| Sep 26, 2024 | 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. |
| Sep 26, 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. |
| Mar 6, 2024 | D · Potential for harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
| Mar 6, 2024 | D · Potential for harm, one-off | The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have. · from a complaint |
| Nov 2, 2023 | 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. |
| Nov 2, 2023 | 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. |
| Aug 24, 2023 | 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 |
| Sep 15, 2022 | 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. |
| Sep 15, 2022 | 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. |
| Sep 15, 2022 | 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. |
| Sep 15, 2022 | 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. |
| Sep 15, 2022 | 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. |
| Sep 15, 2022 | 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. |
| Sep 15, 2022 | 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 increased between the last two inspection cycles (2 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 7 | 0 | F |
| 2023 | 3 | 0 | D |
| 2024 | 7 | 0 | D |
| 2025 | 4 | 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 $9,110.
| Date | Type | Amount / length |
|---|---|---|
| Jun 27, 2025 | Fine | $9,110 |
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) | 3.55 | 2.99 | 3.95 | top 22% in Illinois; bottom 39% in the U.S. |
| Registered Nurse hours | 0.46 | 0.63 | 0.69 | bottom 44% in Illinois; bottom 32% in the U.S. |
| Weekend total nurse staffing | 3.38 | 2.67 | 3.50 | top 19% in Illinois; top 49% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.40 | 0.56 | 0.48 | bottom 39% in Illinois; top 47% in the U.S. |
| Total nursing staff turnover (%) | 51.6 | 44.5 | 45.8 | bottom 30% in Illinois; bottom 33% 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 4.23, RN 0.55, weekend 4.03. 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
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Unlimited Development, INC | Organization | 5% or Greater Direct Ownership Interest | — | 06/01/2009 |
| Finke, Audrey | Individual | Corporate Director | NOT APPLICABLE | 08/30/2018 |
| Gilmore, Jerry | Individual | Corporate Director | NOT APPLICABLE | 04/26/2006 |
| Haney, David | Individual | Corporate Director | NOT APPLICABLE | 04/26/2006 |
| Udi# 10, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/01/2009 |
| Urnikis, Michelle | Individual | W-2 Managing Employee | NOT APPLICABLE | 09/04/2018 |
| Wagner, Robert | Individual | Corporate Director | NOT APPLICABLE | 04/26/2006 |
| Wagner, Robert | Individual | Corporate Officer | NOT APPLICABLE | 08/30/2018 |
| Wilson, Ronald | Individual | Corporate Officer | NOT APPLICABLE | 08/30/2018 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "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?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "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 an example care plan, and how are families included when it's created and updated?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "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 |
|---|---|---|---|---|---|
| Hallmark Healthcare of Pekin | 1.5 mi | Pekin, IL | ★☆☆☆☆ | 2/5 | |
| Timbercreek Rehab and Health Care Center | 2.3 mi | Pekin, IL | ★☆☆☆☆ | 1/5 | SFF |
| Arcadia Care Morton | 9.1 mi | Morton, IL | ★☆☆☆☆ | 1/5 | |
| Apostolic Christian Restmor | 10.1 mi | Morton, IL | ★★★★★ | 4/5 | |
| Fondulac Rehabilitation and Health Care Center | 10.7 mi | East Peoria, IL | ★☆☆☆☆ | 1/5 | abuseSFF |
| Loft Rehab of East Peoria, the | 12.7 mi | East Peoria, IL | ★★★★★ | 5/5 | |
| Sharon Health Care Willows | 13.2 mi | Peoria, IL | ★☆☆☆☆ | 2/5 | abuse |
| Sharon Health Care Elms | 13.2 mi | Peoria, IL | ★☆☆☆☆ | 2/5 | |
| Sharon Health Care Pines | 13.3 mi | Peoria, IL | ★☆☆☆☆ | 1/5 | abuse |
| Apostolic Christian Skylines | 14.2 mi | Peoria, IL | ★★★★★ | 5/5 | |
| Accolade Healthcare of Peoria | 14.9 mi | Peoria, IL | ★★★☆☆ | 3/5 | |
| Loft Rehab of Peoria, the | 15.3 mi | Peoria, IL | ★☆☆☆☆ | 1/5 | abuse |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 145597.