Manor Court of Peru — nursing home in Peru, IL

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 130 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: 107.7 CMS, MDS-derived
CMS Certification Number: 146091
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Aug 19, 2005
Ownership type: Non profit - Corporation
Operator (legal business name): Residential Alternatives of Illinois Inc
CMS chain: Residential Alternatives of Illinois 7 facilities
Phone: (815) 220-1400
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

8

latest Mar 9, 2026

Citations

20

9 health · 11 fire

Harm or worse

1

1 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G·	H·	I·
Potential harm	D8	E9	F2
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

$14,069

Payment denials

0

Latest

Mar 9, 2026

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 146091
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 130
First approved: Aug 19, 2005
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
Mar 9, 2026	Health	Health Complaint	1	Immediate jeopardy	—	Open →
Aug 28, 2025	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Aug 28, 2025	Health	Health Standard	2	Potential harm	—	Open →
Oct 31, 2024	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Oct 31, 2024	Health	Health Standard	5	Potential harm	—	Open →
Apr 13, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Oct 19, 2023	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Oct 19, 2023	Health	Health 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 9, 2026	Civil money penalty (fine)	$14,069	—	146091\|Fine\|141586

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G·	H·	I·
Potential harm	D8	E9	F2
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Mar 9, 2026	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 Mar 10, 2026	Complaint
Aug 28, 2025	K-0133	Install a two-hour-resistant firewall separation. Construction Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 12, 2025
Aug 28, 2025	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 12, 2025
Aug 28, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 12, 2025
Aug 28, 2025	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 12, 2025
Aug 28, 2025	F-0580	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Sep 8, 2025
Aug 28, 2025	F-0692	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 8, 2025
Oct 31, 2024	K-0341	Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 2, 2024
Oct 31, 2024	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Nov 4, 2024
Oct 31, 2024	K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Nov 5, 2024
Oct 31, 2024	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Nov 14, 2024
Oct 31, 2024	F-0558	Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Nov 12, 2024
Oct 31, 2024	F-0644	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 13, 2024
Oct 31, 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	D · Potential harm Isolated	Corrected Nov 12, 2024
Oct 31, 2024	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 Nov 12, 2024
Oct 31, 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 Nov 12, 2024
Apr 13, 2024	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 6, 2024	Complaint
Oct 19, 2023	K-0271	Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 20, 2023
Oct 19, 2023	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 20, 2023
Oct 19, 2023	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 23, 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 staffing3.66

State avg 3.47US avg 3.90

Registered nurse (RN)0.76

State avg 0.71US avg 0.69

Licensed practical nurse0.36

State avg 0.64US avg 0.86

Nurse aide2.54

State avg 2.12US avg 2.35

Weekend total nurse3.37

State avg 3.08US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.11 (case-mix index 1.64).

Staff turnover

Total nursing staff turnover27.2%

State avg 43.7%US avg 45.3%

Registered nurse turnover16.7%

State avg 41.5%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Aug 28, 2025
Cycle 1 health score: 83
Total weighted score: 68.25

Operating entity

Residential Alternatives of Illinois Inc

CMS legal business name of the certified provider. Operates 7 facilities.

VerifiedLinked by exact legal name

CMS chain

Residential Alternatives of Illinois

7 facilities in 2 states. CMS chain ID 450.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.1

Ownership disclosures

Disclosures

7

Organizations

1

Individuals

6

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Residential Alternatives of Illinois Inc	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Mar 10, 2022

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
Residential Alternatives of Illinois Inc	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Mar 10, 2022
William Kempiners	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Aug 1, 2013
John Kniery	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Aug 1, 2013
Jeffrey Shaw	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Aug 1, 2013
Jeffrey Shaw	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Aug 1, 2013
Ronald Wilson	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Aug 13, 2018
Lorrie Lieske	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Aug 6, 2018

Other facilities operated by Residential Alternatives of Illinois Inc

All 6 →

Facility	Beds	Last inspection	Citations (window)	Fines
Manor Court of Princeton 140 North Sixth Street, Princeton, IL 61356 CCN 146083	125	Jun 13, 2026	38	—
Hawthorne Inn of Danville 3222 Independence Drive, Danville, IL 61832 CCN 146090	80	Aug 13, 2025	311 harm	—
Manor Court of Freeport 2170 West Navajo Drive, Freeport, IL 61032 CCN 146102	117	Jul 13, 2026	6910 harm	$107k
Manor Court of Peoria 6900 North Stalworth, Peoria, IL 61615 CCN 146108	50	Aug 4, 2026	431 IJ1 harm	$141k
Manor Court of Rochelle 2203 Flagg Road, Rochelle, IL 61068 CCN 146193	92	May 13, 2026	433 harm	$14k
Windmill Manor 2332 Liberty Drive, Coralville, IA 52241 CCN 165545	120	Apr 9, 2026	332 harm	$11k

Same chain in Illinois

All 6 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Manor Court of Princeton 140 North Sixth Street, Princeton, IL 61356 CCN 146083	125	Jun 13, 2026	38	—
Hawthorne Inn of Danville 3222 Independence Drive, Danville, IL 61832 CCN 146090	80	Aug 13, 2025	311 harm	—
Manor Court of Freeport 2170 West Navajo Drive, Freeport, IL 61032 CCN 146102	117	Jul 13, 2026	6910 harm	$107k
Manor Court of Peoria 6900 North Stalworth, Peoria, IL 61615 CCN 146108	50	Aug 4, 2026	431 IJ1 harm	$141k
Manor Court of Rochelle 2203 Flagg Road, Rochelle, IL 61068 CCN 146193	92	May 13, 2026	433 harm	$14k

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: 3230 Becker Drive, Peru, IL 61354
ZIP: 61354
County: LaSalle County FIPS 17099
Assigned by point in polygon Inferred
State: Illinois
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Allure of Peru 1301 21st Street, Peru, IL 61354 CCN 145044	1 km	127		Apr 10, 2026	312 harm	$10k
Goldwater Care Spring Valley 1300 North Greenwood Street, Spring Valley, IL 61362 CCN 145486	6.5 km	98		Jul 10, 2026	34	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	146091	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	146091	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
CMS Provider Information US-CMS	146091	county_fips County assigned by locating CMS coordinates in Census county boundaries (the CMS county name did not match the Census code list).	Inferred	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 146091

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