Gibson Community Hsp Annex — nursing home in Gibson City, IL

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 16 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 13.2 CMS, MDS-derived
CMS Certification Number: 145979
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): May 19, 1999
Ownership type: Non profit - Corporation
Operator (legal business name): Gibson Community Hospital Association
CMS chain: Not part of a CMS-reported chain
Phone: (217) 784-2566
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Dec 10, 2025

Citations

11

11 health · 0 fire

Harm or worse

2

1 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G1	H·	I·
Potential harm	D6	E2	F1
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

1

$20,046

Payment denials

0

Latest

Mar 13, 2024

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 145979
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 16
First approved: May 19, 1999
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Illinois.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Dec 10, 2025	Health	Health Standard	0	No citations	—	Open →
Mar 13, 2024	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Mar 13, 2024	Health	Health Standard	7	Actual harm	—	Open →
Jun 5, 2023	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Jun 5, 2023	Health	Health Standard	4	Immediate jeopardy	—	Open →
Jul 21, 2022	Fire safety	Fire Safety Standard	0	No citations	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Mar 13, 2024	Civil money penalty (fine)	$20,046	—	145979\|Fine\|69563

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G1	H·	I·
Potential harm	D6	E2	F1
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction
Mar 13, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Apr 4, 2024
Mar 13, 2024	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 25, 2024
Mar 13, 2024	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 22, 2024
Mar 13, 2024	F-0758	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Apr 4, 2024
Mar 13, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	F · Potential harm Widespread	Corrected Apr 4, 2024
Mar 13, 2024	F-0881	Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Apr 4, 2024
Mar 13, 2024	F-0887	Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Apr 4, 2024
Jun 5, 2023	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Corrected Jun 6, 2023
Jun 5, 2023	F-0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 26, 2023
Jun 5, 2023	F-0758	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Jun 26, 2023
Jun 5, 2023	F-0881	Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jun 26, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 2.6

Health inspectionsstate 2.7

Staffingstate 2.2

Quality measuresstate 3.1

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing4.83

State avg 3.47US avg 3.90

Registered nurse (RN)0.82

State avg 0.71US avg 0.69

Licensed practical nurse1.10

State avg 0.64US avg 0.86

Nurse aide2.90

State avg 2.12US avg 2.35

Weekend total nurse4.43

State avg 3.08US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.86 (case-mix index 1.15).

Staff turnover

Total nursing staff turnover23.1%

State avg 43.7%US avg 45.3%

Registered nurse turnover20.0%

State avg 41.5%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Dec 10, 2025
Cycle 1 health score: 0
Total weighted score: 15

Operating entity

Gibson Community Hospital Association

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

16

Organizations

0

Individuals

16

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Kathleen Bennett	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Nov 1, 2010
Andy Hudson	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Oct 1, 2022
Steven Kelly	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Nov 1, 2005
Ellen Lee	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Nov 1, 1990
Margo Martin	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Nov 1, 1999
Marty Nuss	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Nov 1, 2010
Mike Petersen	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Mar 1, 2018
Donald Reese	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Feb 21, 2021
Kevin Seymour	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Mar 1, 2018
Brian Steidinger	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Nov 16, 2016
Justin Swan	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Oct 1, 2022
Justin Taylor	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Mar 1, 2018
Michael Young	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Nov 1, 2001
Robert Schmitt	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Dec 9, 2002
Donald Reese	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Oct 1, 2022
Robert Schmitt	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Dec 9, 2002

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 430 East 19th, Gibson City, IL 60936
ZIP: 60936
County: Ford County FIPS 17053
State: Illinois
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Goldwater Care Gibson City 620 East First Street, Gibson City, IL 60936 CCN 145911Abuse icon	2.4 km	60		May 12, 2026	861 IJ5 harm	$60k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	145979	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	145979	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 145979

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction